| East Bay Aids Center Medical Group Inc | |
|
3100 Summit St 2nd Floor Oakland CA 94609-3410 | |
| (510) 869-8400 | |
| (510) 869-8475 |
| Full Name | East Bay Aids Center Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3100 Summit St, Oakland, California |
| Authorized Official Name and Position | Jeffrey Burack (PRESIDENT) |
| Authorized Official Contact | 5108698480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Aids Center Medical Group Inc 3100 Summit St, 2nd Floor Oakland CA 94609 Ph: (510) 869-8488 | East Bay Aids Center Medical Group Inc 3100 Summit St 2nd Floor Oakland CA 94609-3410 Ph: (510) 869-8400 |
| NPI Number | 1689600314 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 12/22/2022 |
| Medicare PECOS PAC ID | 2668497843 |
|---|---|
| Medicare Enrollment ID | O20051006000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689600314 | NPI | - | NPPES |
| GR0087700 | Medicaid | CA |
| Provider Name | Lisa I Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568524247 PECOS PAC ID: 6305892720 Enrollment ID: I20050329000219 |
| Provider Name | Stephen O'brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699794453 PECOS PAC ID: 8729003900 Enrollment ID: I20051110000576 |
| Provider Name | Jeffrey H Burack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316967474 PECOS PAC ID: 3274551916 Enrollment ID: I20051110000598 |
| Provider Name | Hyman Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528233913 PECOS PAC ID: 8820148901 Enrollment ID: I20090611000132 |
| Provider Name | Michele Wen Tang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851680797 PECOS PAC ID: 1052539640 Enrollment ID: I20140822001629 |
| Provider Name | Stephen A Merjavy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326477993 PECOS PAC ID: 0648403956 Enrollment ID: I20180125001062 |
| Provider Name | Kentaro J Kaneko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992272223 PECOS PAC ID: 1052720240 Enrollment ID: I20210428002589 |
| Provider Name | Mollie S Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487266292 PECOS PAC ID: 6901215177 Enrollment ID: I20210429002863 |
| Provider Name | Carissa J Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053047803 PECOS PAC ID: 4688044829 Enrollment ID: I20230103002809 |
| Provider Name | Mathew R Sommers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467188516 PECOS PAC ID: 4981075207 Enrollment ID: I20230125001269 |
| Provider Name | Lauren E Mellor-crummey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306474382 PECOS PAC ID: 3476946500 Enrollment ID: I20230906000293 |
| Provider Name | Jessica Farmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790246460 PECOS PAC ID: 9638615859 Enrollment ID: I20240724002733 |
| Provider Name | Tricia A Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245051242 PECOS PAC ID: 3173045119 Enrollment ID: I20250319000575 |
| Provider Name | Charlene M Edman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851137814 PECOS PAC ID: 2466975545 Enrollment ID: I20250328003355 |
Asian Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 E 18th St Fl 2, Oakland, CA 94606 Phone: 510-986-6860 Fax: 510-986-6890 | |
Roosevelt School-based Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1926 E 19th St, Oakland, CA 94606 Phone: 510-535-4000 | |
Oakland Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 28th St, Oakland, CA 94609 Phone: 510-452-4824 Fax: 510-465-4503 | |
La Clinica De La Raza Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4351 Broadway, Oakland, CA 94611 Phone: 510-879-1907 Fax: 510-879-1999 | |
Clinica La Luna Y El Sol Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4333 Piedmont Ave, Oakland, CA 94611 Phone: 510-594-7400 Fax: 510-594-7402 | |
Treble Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 43rd St Unit 106, Oakland, CA 94609 Phone: 800-865-3142 | |
Randall Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 30th St, #100, Oakland, CA 94609 Phone: 510-342-2239 Fax: 510-380-7143 |